American Eagle Boys Ranch, LLC

NPI #1669644167 in Somerton, Arizona

Provider Information

NPI Number: 1669644167
Entity Type: Organization
Organization Name: American Eagle Boys Ranch, LLC
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Mar 25, 2008
Last Updated: Mar 25, 2008

Practice Location

Address: 3536 W VENUS DR
City: Somerton
State: Arizona
ZIP Code: 85350-7245
Phone: (928) 726-6764

Authorized Official

Name: MR. NEIL HANSEN
Title: OWNER/ADMINISTRATOR
Phone: (928) 726-6764

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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